3-Debarment and Suspension Certification.pdf
PDF 95 KB Posted
- Attached to
- Auditorium Lighting Equipment 2026
- Solicitation number
- AuditoriumLightingEquipment2026
- Issued by
- Kent County, Grand Rapids City, Michigan
About this file
This is a Debarment and Suspension Certification form required by Grand Rapids Public Schools in Michigan for bidders responding to the Auditorium Lighting Equipment 2026 RFQ. The certification requires bidders to attest under penalty of perjury that they and any associated owners, partners, directors, officers, or managers are not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency. Bidders must also confirm they have not been suspended, debarred, voluntarily excluded, or determined ineligible by any Federal agency within the past three years, do not have a proposed debarment pending, and are not presently indicted for or otherwise criminally or civilly charged by any governmental entity in any matter involving fraud or official misconduct within the past three years.
The certification allows bidders to note any exceptions to these certifications, with instructions to identify the exception, the relevant agency, and dates of action. The form specifies that providing false information may result in criminal prosecution or administrative sanctions. This certification document constitutes part of the bid submission, and the bidder's signature on the designated signature line serves as execution of both the bid and this certification requirement.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-Lighting Equipment RFQ 2026.pdf | ||
| 1-Sworn statement of Familial Relationship.pdf | ||
| 2-Iran Business Relationship Affidavit.pdf |
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Text version
Grand Rapids Public Schools
Grand Rapids Public Schools Debarment and Suspension Certification
Debarment and Suspension Certification
The bidder under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;
• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any
Federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or Local) in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial or award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Bid. Signing this document on the signature portion thereof shall also constitute signature of this Certification.
Signature Title
Company Date
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